Provider Demographics
NPI:1750360145
Name:LELLMAN, JOSEPH EDWARD (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:EDWARD
Last Name:LELLMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:280 CHESTNUT ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01199-1001
Mailing Address - Country:US
Mailing Address - Phone:413-794-5700
Mailing Address - Fax:
Practice Address - Street 1:40 WRIGHT ST
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:MA
Practice Address - Zip Code:01069-1138
Practice Address - Country:US
Practice Address - Phone:413-370-5356
Practice Address - Fax:413-370-5775
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA74823207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0021172OtherNEIGHBORHOOD HEALTH
MA04-2629461OtherCONSOLIDATED
MA04-2629461OtherNORTHEAST HEALTH DIRECT
MA074823OtherTUFTS
MA04-2629461OtherNORTH AMERICAN PREFERRED
MA171316OtherHARVARD PILGRIM
MAJ16879OtherBCBS MA
MA18663OtherHEALTH NEW ENGLAND
MA3153312Medicaid
MA04-2629461OtherNORTHEAST HEALTHCARE ALLI
MA0000000031716OtherBMC
MA04-2629461OtherUNICARE/GIC
MA074823OtherCONNECTICARE
F77948Medicare UPIN
MA04-2629461OtherPLAN VISTA
MA2382827OtherCIGNA
MA982624OtherNETWORK HEALTH
A21543Medicare PIN
MA04-2629461OtherPRIVATE HEALTHCARE SYSTEM